| NPI | 1912497868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034191) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 102240) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-10-16 |